Abstract:
BACKGROUND:Renal artery stenosis is an important cause of hypertension and renal failure. When present in a solitary kidney, it is associated with extremely high morbidity and mortality. Although guidelines suggest an aggressive approach by revascularization in these cases, available evidence is too weak and contradictory to provide definite recommendations for treatment. OBJECTIVES:To discuss the various clinical factors predicting the benefit from revascularization. METHODS AND RESULTS:Review of more recent clinical trials is presented. DISCUSSION:The approach to the patient with single kidney and renal artery stenosis is discussed and, although there is insufficient evidence-based medicine for guidelines, some suggestions are made to predict revascularization results in these cases. CONCLUSION:Continuous development of clinical prediction rules will help in the management of renal artery stenosis of solitary kidney.
journal_name
Ren Failjournal_title
Renal failureauthors
Feldman L,Beberashvili I,Averbukh Z,Weissgarten Jdoi
10.1081/jdi-200031740subject
Has Abstractpub_date
2004-09-01 00:00:00pages
525-9issue
5eissn
0886-022Xissn
1525-6049journal_volume
26pub_type
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